| Breast lesion removal (open) (19120) |
$12,668.40 |
$12,668.40 |
3.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) |
$3,677.70 |
$3,677.70 |
4.0× |
| Colonoscopy with lesion removal (45385) |
$3,659.30 |
$3,659.30 |
3.0× |
| Colonoscopy with endoscopic ultrasound (45391) |
$3,501.75 |
$3,501.75 |
2.9× |
| Epidural injection, lumbar/sacral (with imaging) (62322) |
$2,501.25 |
$2,501.25 |
2.8× |
| Transforaminal epidural injection, lumbar/sacral (64483) |
$4,982.46 |
$4,982.46 |
5.5× |
| After-cataract laser surgery (YAG capsulotomy) (66821) |
$2,501.25 |
$2,501.25 |
4.5× |
| CT head/brain without contrast (70450) |
$4,026 |
$4,026 |
37.9× |
| MRI brain without contrast (70551) |
$5,561 |
$5,561 |
22.9× |
| MRI brain with contrast (70552) |
$5,387 |
$5,387 |
15.2× |
| MRI brain without and with contrast (70553) |
$7,610 |
$7,610 |
21.5× |
| X-ray lower spine, 4+ views (72110) |
$1,428 |
$1,428 |
13.4× |
| MRI lumbar spine without contrast (72148) |
$4,804 |
$4,804 |
19.8× |
| CT pelvis with contrast (72193) |
$5,705 |
$5,705 |
32.0× |
| MRI lower-extremity joint without contrast (73721) |
$5,034.70 |
$5,034.70 |
20.8× |
| CT abdomen and pelvis with contrast (74177) |
$10,272 |
$10,272 |
29.0× |
| Ultrasound, abdomen complete (76700) |
$2,181 |
$2,181 |
20.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$1,552.99 |
$1,552.99 |
14.6× |
| Ultrasound, transvaginal (76830) |
$1,562.85 |
$1,562.85 |
14.7× |
| Mammography, one breast (diagnostic) (77065) |
$892.40 |
$892.40 |
10.4× |
| Mammography, both breasts (diagnostic) (77066) |
$1,146 |
$1,146 |
10.4× |
| Mammography, screening (bilateral) (77067) |
$748.65 |
$748.65 |
8.2× |
| Basic metabolic panel (80048) |
$382.95 |
$382.95 |
45.3× |
| Comprehensive metabolic panel (80053) |
$522.92 |
$522.92 |
49.5× |
| Lipid panel (80061) |
$293.25 |
$293.25 |
21.9× |
| Renal function panel (80069) |
$362.25 |
$362.25 |
41.7× |
| Hepatic function panel (80076) |
$373 |
$373 |
45.7× |
| Urinalysis, non-automated, with microscopy (81000) |
$120 |
$120 |
29.9× |
| PSA, total (84153) |
$343 |
$343 |
18.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$257.60 |
$257.60 |
15.3× |
| CBC with automated differential (85025) |
$238.45 |
$238.45 |
30.7× |
| CBC, automated (85027) |
$209.30 |
$209.30 |
32.3× |
| Prothrombin time (PT) (85610) |
$155.92 |
$155.92 |
36.3× |
| Partial thromboplastin time (PTT) (85730) |
$153 |
$153 |
25.5× |
| Psychotherapy, 30 minutes (90832) |
$541 |
$541 |
3.0× |
| Psychotherapy, 45 minutes (90834) |
$541 |
$541 |
3.0× |
| Psychotherapy, 60 minutes (90837) |
$658 |
$658 |
3.6× |
| Family psychotherapy, without patient (50 min) (90846) |
$1,054 |
$1,054 |
5.8× |
| Family psychotherapy, with patient (50 min) (90847) |
$1,054 |
$1,054 |
5.8× |
| Left heart catheterization (93452) |
$24,190 |
$24,190 |
7.3× |
| Sleep study (attended polysomnography) (95810) |
$7,176 |
$7,176 |
8.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$394.88 |
$394.88 |
13.6× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$562 |
$562 |
4.2× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$626.28 |
$626.28 |
4.6× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$739 |
$739 |
5.5× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$440 |
$440 |
3.3× |